Nurse Practitioner or Physician Assistant, Hospital Medicine Liberty/Base (64 Bi-weekly Hours)

Cincinnati Children's•Greendale, WI

1d•Onsite

About The Position

This is an inpatient role within Hospital Medicine, operating 24/7 with rotating shifts. The position is based at Liberty/Base and requires 64 bi-weekly hours. While experienced Advanced Practice Providers (APP) are preferred, new graduates with adequate experience will be considered. The role involves performing history and physical exams, diagnosing illnesses, formulating and monitoring treatment plans, ordering tests, providing clinical consultation, and prescribing medications in accordance with all applicable laws and policies. The APP will also be responsible for identifying and planning outcomes, maintaining professional behaviors, participating in quality improvement activities, and serving as a preceptor or mentor. Care management responsibilities include promoting self-management and family-centered care, delegating tasks, making appropriate referrals, and documenting and communicating with the healthcare team. Evaluation of patient care and outcomes is a key component, with the goal of making process or structural changes as needed. The scope of practice for this subspecialty role will not exceed that of the collaborating or supervising physician.

Requirements

Master's degree in related field.
May require clinical license, certification or training OR Doctor of Nursing Practice degree
Certification-acute care pediatric nurse practitioner or Physician Assistant. Will consider FNP or PNP depending on experience.
Specialty experience preferred-related nursing experience.
Licensure and certification in accordance with CCHMC Delineation of Privileges
Multi-state licensure in addition to Ohio licensure may be required base on subspecialty

Nice To Haves

Experienced APP preferred
Experience as an APP in subspecialty

Responsibilities

Perform history and/or physical exams on patients presenting for care in area of expertise.
Assess and diagnose illnesses, including chronic and acute conditions.
Formulate, document and monitor a treatment plan.
Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam.
Provide clinical consultation, order interdisciplinary consults.
Prescribe medications in accordance with Federal and State Law & Rules and CCHMC policy.
Attain and maintain competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
Develop outcomes as measurable goals that provide direction for continuity of care & consistency among providers.
Develop, prioritize, evaluate & modify an individualized comprehensive plan of care.
Address each diagnosis or issue, as appropriate.
Derive outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources.
Consider risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes.
Incorporate new knowledge & strategies to initiate change in practice if desired outcomes not achieved.
Maintain documentation & updates accordingly outcomes, goals & the plan of care.
Maintain professional behaviors aligned with core values and care standards.
Participate in quality improvement activities or research to improve the care delivery process & patient care outcomes.
Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance.
Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth.
Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting.
Advocate for the pediatric patient/family/caregiver.
Serve as a leader, influencing both healthcare/APP practice & policy.
Maintain competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment.
Provide leadership in care management to achieve optimal quality, cost-effective care.
Document & communicate with healthcare team members to achieve an integrated delivery of pediatric care services.
Delegate appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver.
Provide consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system.
Make appropriate referrals and discuss recommendations with patient/family/caregiver.
Order and/or perform appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice.
Provide patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
Use a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed.
Evaluate the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes.
Include the patient/family/caregiver & other healthcare providers in the evaluation process.
Base the evaluation process on advanced knowledge, practice, research, & document appropriately.
Utilize the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.